Samantha Ansley

Individual provider Active NPI Professional Counselor · Opelika, AL

NPI 1497290944 · NPPES record last updated Dec 19, 2016

Key facts

NPI
1497290944
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
3385 (AL)
Practice address
2300 Center Hill Dr BLDG 1
Opelika, AL 36801-6862
Phone
(334) 742-2130
NPI assigned
Dec 19, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3385ALMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3385 AL Yes

Addresses

Primary practice location

2300 Center Hill Dr BLDG 1
Opelika, AL 36801-6862

Mailing address

2506 Lambert Dr
Opelika, AL 36801-7237
Phone (334) 742-2718

Other names

  • Samantha Brown Former name

Other providers in Opelika, AL

All providers in Opelika, AL · Professional Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.